Melioidosis in Sri Lanka: an emerging infection

Sri Lankan Journal of Infectious Diseases

I Jayasinghe¹  V Thevanesam²  J Masakorala³  T J.J Inglis⁴  E Corea⁵  A Ekanayake⁶  S Perera⁷ 

[1] ;Department of Microbiology Faculty of Medicine, University of Peradeniya;Faculty of Medicine, University of Colombo;School of Pathology & Laboratory Medicine, Faculty of Medicine, Dentistry and Allied Sciences, University of Western Australia and Department ofMicrobiology, PathWest Laboratory Medicine WA, Nedlands, Western Australia, Australia;Senior Lecturer,Dept of Microbiology, Faculty of Medicine, University of Colombo;Staff Technical Officer Department of MicrobiologyFaculty of MedicineUniversity of Peradeniya;Teaching Hospital, Sri Jayawardenepura, Sri Lanka;

关键词: melioidosis;    sri lanka;    burkholderia pseudomallei;   

DOI  :  10.4038/sljid.v2i1.3801

来源: DOAJ

【 摘 要 】

Melioidosis, a pyogenic infection that presents acutely or as a chronic infection, is caused by the soil-associated bacterium Burkholderia pseudomallei. Infection is acquired by inoculation or inhalation and is more common in patients with underlying chronic disease. It is endemic in the tropical belt. Although Sri Lanka is not considered as a country where melioidosis is endemic, an increasing number of cases have been reported recently. Definitive diagnosis requires the isolation of B. pseudomallei in culture from clinical specimens. However, the laboratory diagnosis of melioidosis in Sri Lanka and other under-resourced countries is limited by a lack of familiarity with the bacterium and a lack of facilities to accurately confirm the identity of the isolate. It is highly likely that melioidosis is under-diagnosed in this country. There is a need to increase awareness of this infection among clinicians and clinical microbiologists and improve laboratory facilities for the selective isolation and accurate identification of B.pseudomallei. In addition, studies are needed to determine the epidemiology of melioidosis in Sri Lanka.

DOI: http://dx.doi.org/10.4038/sljid.v2i1.3801

Sri Lankan Journal of Infectious Diseases Vol.2(1) 2012: 2-8

 

【 授权许可】

Unknown